As I said, I will ask our rad physicist (who is the person responsible for bringing the tomo therapy IMRT to Hopkins) about these issues and post what he says. At the least, it will be interesting to hear his perspective from the technical side.

Btw, I also had heard (as Gary said) that IMRT can be used to deliver more conventional radiotherapy by modifying the delivery system. Remember until a month ago my perspective has only been from the prostate cancer end (I am a SPORE advocate for Hopkins' PC program) and not fro m HNC side.

Gail

CG to husband Barry, dx. 7/21/05, age 66, SCC rgt. tonsil, BOT, 2 nodes (stg. IV), HPV+, tonsillectomy, 7x carboplatin, 35x tomoTherapy IMRT w/ Ethyol @ Johns Hopkins, thru treatment 9/28/05, HPV vaccine trial 12/06-present. Looking good!